Provider Demographics
NPI:1871149203
Name:DRAKE, PATRICIA RACHEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:RACHEL
Last Name:DRAKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GRACEMORE ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-4966
Mailing Address - Country:US
Mailing Address - Phone:518-248-9676
Mailing Address - Fax:
Practice Address - Street 1:1476 ROUTE 9
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-6524
Practice Address - Country:US
Practice Address - Phone:518-373-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist